System Director Quality and Safety

Baptist Health

$110K — $130K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Clinical degree required (e.g., RN, BSN, APP, PharmD)
  • Bachelor's degree required
  • Master's degree in related field (MHA, MBA, MSN, or MPH) is required
  • Current clinical license in the state of practice
  • Preferred certifications include CPHQ, CPPS, or CPHRM
  • 3-5 years of progressive leadership in Quality and Patient Safety
  • Experience with CMS surveys and TJC accreditation processes

Responsibilities

  • Oversee strategic vision and operations of Clinical Quality and Patient Safety departments
  • Foster a 'Zero Harm' culture across the health system
  • Ensure integrity of clinical data and management of patient grievances
  • Conduct prompt Root Cause Analyses (RCAs) to identify systemic issues
  • Reduce patient harm and enhance patient outcomes
  • Serve as a liaison between administration and operational leadership

Benefits

  • Standard M-F working hours, 8am-5pm
  • Part of a high-reliability healthcare organization
  • Opportunity to influence patient safety and quality initiatives
  • Engagement in continuous quality improvement practices
Full Job Description
Department: High Reliability Organization (HRO)

Shift: Day

Working Hours: M-F, 8a-5p

Summary:

The Director of Quality & Safety is a key clinical leader responsible for executing the strategic vision, daily operations, and direct oversight of the health system's Clinical Quality and Patient Safety departments. Serving as the vital link between administration and operational leadership. This role is instrumental in fostering a "Zero Harm" culture and high reliability, ensuring the integrity of clinical data, the effective management of patient grievances, ensures that Root Cause Analyses (RCAs) are conducted effectively and timely, specifically targeting and addressing systemic issues to reduce patient harm and improve patient outcomes.

Other information:

1. Education: Clinical degree required (e.g., RN, BSN, APP, PharmD); and Bachelor's degree required; and Master's degree in Healthcare Administration (MHA), Business (MBA), Nursing (MSN), or Public Health (MPH), or related field is required.

2. Certifications/Licensure: Current, unencumbered clinical license in the state of practice. Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or Certified Professional in Healthcare Risk Management (CPHRM) are strongly preferred.

2. Experience: Minimum of 3-5 years of progressive leadership experience in Quality, Patient Safety, Risk Management, Regulatory Compliance, or Hospital Clinical Department within an acute care hospital system; Demonstrated, hands-on experience managing, leading, or significantly contributing to successful CMS surveys and TJC accreditation processes; Strong clinical acumen required to conduct thorough, credible investigations of complex patient safety events; Exceptional critical thinking, analytical, and problem-solving skills with the ability to interpret clinical data and trends.

This job will be authorized 80.00 hours bi-weekly.

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